Enter the name and phone number of an emergency contact that is different from parent/guardian

Emergency Contact Name

Emergency Contact Phone

Enroll in Trenton Circus Squad

What is participant's age?

6 - 1112 - 18

Trenton Circus Squad Programs

Select all the days that you plan to attend the Squad Service Program (Trenton). Squad Members may attend any day. From September 9th, Tuesday and Thursday program for Road Squad only will run from 6pm to 7:30pm. All are welcome from 4pm to 6pm on those days.

To select multiple days: Press Shift and select multiple days.

Trenton drop-in workshops. Tell us which day (s) you plan to come.

Monday

Tuesday

Wednesday

Thursday

Friday

Parent/Guardian Signature of Waiver and Media Release

Waiver and Media Release

In consideration of Trenton Civil Circus Project, doing business as Trenton Circus Squad and all other persons or entities acting in any capacity by, through, under or on its behalf (hereinafter collectively referred to as “TCS”) I hereby agree to release, indemnify and discharge TCS on behalf of myself, my spouse, my children, my parents, my heirs, assigns personal representative and estate as follows: 1. I acknowledge that my participation in activities utilizing unicycles, stilts, rolling globes, mini-tramp, aerial equipment and involving lifting and being lifted by others entails known and unanticipated risks that could result in physical or emotional injury or death. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. 2. The risks include, among other things: the hazards of slips and falls; being struck by objects dislodged or dropped from above; the risks of falling off the equipment; the risks of landing improperly on a safety mat; my own physical condition and the physical exertion associated with this activity. 3. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. 4. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless TCS from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of TCS’s equipment or facilities, including any such claims with allege negligent acts or omissions of TCS. 5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have. 6. Should TCS or anyone acting on their behalf be required to incur reasonable attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 7. Notwithstanding anything to the contrary herein, in the event that I file a lawsuit against TCS, I agree to do so solely in the state of New Jersey and I further agree that the substantive law of New Jersey shall apply in that action with out regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect. 8. By signing this document, I acknowledge that if anyone is hurt, or property is damaged or lost during my participation in this activity, I waive my right to maintain a lawsuit against TCS on the basis of any claim from which I have released them herein. 9. MEDIA RELEASE: I give permission for the image and voice of the performer named above to be used by the Trenton Circus Squad in any media for publicity purposes.

Parent’s or legal guardian’s indemnification for participants under the age of 18:

In consideration of the participant (“Minor” ) being permitted by TCS to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless TCS from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

I confirm that I have adequate time to review this waiver and that I agree to its terms.

First Name

Last Name

Page 2

Donation

Can you make a donation?

There is no charge to join the Trenton Circus Squad. We do not charge, so that all youth have equal access to our program, regardless of their ability to pay. We rely on those who can pay to make donations to help cover our costs. Please join us in supporting TCS at the level that seems right to you. The incremental cost of each child to participate in the squad is about $600 per session. Donating more will help support the underlying costs of the program and making the experience available without regard to ability to pay. All donations are tax deductible and any amount will be appreciated!

$50 - Will help pay for food and supplies used in the program

$200 - Will cover the cost for one child to attend workshops once per week for this session

$600 - Will cover the cost for a Squad Member to participate in one service project

$1200 - Will cover the cost for a Squad Member and one of their new friends to participate in one service project

You can make a donation by mailing a check to:

Trenton Circus Squad, 675 S Clinton Ave, Trenton, NJ 08611

or by donating online

Thank you for your consideration.

I would like to make an online donation

YesNot now

Donate Here

100% of these donations on this site go to support kids helping themselves by helping others.

Select an amount:

$50 - Will help pay for food and supplies used in the program$200 - Will cover the cost for one child to attend workshops once per week for this session$600 - Will cover the cost for a Squad Member to participate in one service project $1200 - Will cover the cost for a Squad Member and one of their new friends to participate in one service project Other